Comprehensive Wellness Initiative -- Weight Management Component
Weight Management Component Begins July 1, 2011
Members will continue to follow the tobacco cessation guidelines and as of July 2011, will also enroll based on the weight management guidelines. Subscribers will be eligible to enroll in the 80/20 Standard Plan if they declare on the Attestation Form that the subscriber and their covered dependent(s) do not use tobacco products, AND- the subscriber and their covered dependent(s) have a Body Mass Index (BMI) less than 40 kg/m²; OR
- the subscriber and their covered dependent(s) qualify for exemption due to participation in a weight management and/or tobacco cessation program, or have a physician-certified medical condition that prevents the attainment of the required BMI. (See “Exemptions” below for details.)
To calculate Body Mass Index, click here.
Verification of Weight Management Status
- Subscribers who attest that they and their covered dependents meet the weight and tobacco use requirements for the 80/20 Standard Plan will also be attesting that they understand they may be randomly selected to participate in a tobacco use/weight management verification test at their worksite. Height and weight measurements will be collected to determine BMI status. Members must have a BMI less than 40 kg/m2 to pass the test.
- The Physician Certification Form will permit members to claim an exemption for member participation in a weight management program and/or for a medical condition that prevents members from attaining the required BMI, in
addition to the tobacco cessation program exemption. If applicable, both the weight management related exemptions and the tobacco cessation exemption information must be included for enrollment in the 80/20 Standard Plan. - Beginning on July 1, 2012, members must have a BMI of less than 35 kg/m2 to enroll in the 80/20 Standard Plan. All other program requirements and processes will remain the same.
